Lecture 9 Genome Instability and Checkpoints (WIP) Flashcards
What is meant by genome instability
An elevated rate of genetic alterations
Tumorigenesis is a multi-stage process T or F
T
Give some examples of checkpoints throughout the cell cycle
Restriction point that governs entry into S phase from G1 intra-S-phase checkpoint that checks for DNA damage or stalked replication forks G2M phase checkpoint that checks that all DNA has been replicated and then the metaphase to anaphase transition in mitosis that checks whether all chromosomes are attached to the spindle
Why is the intestinal epithelium used as a model for the changes in cancer cells over time
This is the best characterised and understood cancer in terms of the chromosomal abnormalities that correspond with its progression
Outline the progression of intestinal epithelium towards tumorigenesis
Normal epithelium hyperplastic epithelium early/intermediate/late adenoma carcinoma metastasis
Below is a diagram outlining the progression of intestinal epithelium during tumorigenesis. Fill in above the arrows with the specific chromosomal abnormality that causes each transition
Loss of APC DNA hypomethylation activation of KRas loss of Smad4 loss of p53
Give examples of some of the chromosomal changes that occur in the progression of cells during tumorigenesis
Loss of tumour suppressor genes proto-oncogene to oncogene transitions and changes in epigenetic regulation of the genome
What is meant by a driver mutation
A mutation that emerges early in cancer and occurs in a large majority of all cancers of a certain type
There are over 15 different driver mutations in colorectal cancer give some examples of these
APC PIK3CA KRas TP53 FBXW7 β-catenin axin-2
Why are driver mutations better therapeutic targets in the development of cancer treatments
Because mutations in these genes are extremely common and occur early so this will maximise the patients who could benefit and would mean that the cancer is stopped early in its progression
What is significant about the various different mutations that occur at each point in tumorigenesis
Mutations at each stage in tumorigenesis are often components of the same pathway
What hypothesis was proposed to explain how tumour cells manage to accumulate mutations
The mutator hypothesis was proposed to explain the accumulation of all the mutations in tumour cells. This is the idea that tumour cells acquire initial mutator gene mutations that then increases the rate of subsequent mutations
What are the two type of instability seen in cancer cells and how do they differ
Chromosomal instability – chromosomal rearrangements and aberrations as well as loss of heterozygosity aneuploidy/polyploidy and gene amplifications. Microsatellite instability – point mutations and base substitutions as well as microdeletions or insertions giving rise to missense mutations
Microsatellite and chromosomal instabilities are common in normal cells T or F
F – they are extremely rare occurring once in every 10million cell divisions
Where is it that mutator genes are often found
Form part of the DNA repair systems